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Woolrych R, Li M. Exploring the role of smart cities in supporting ageing-in-place in Chongqing, China. Australas J Ageing 2024. [PMID: 38500440 DOI: 10.1111/ajag.13301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2023] [Revised: 02/08/2024] [Accepted: 02/10/2024] [Indexed: 03/20/2024]
Abstract
OBJECTIVE Through interviews with older adults and professionals in Chongqing, China, this paper explores the challenges and opportunities faced by smart cities that undertake to better support ageing-in-place. METHODS We undertook a qualitative multi-methods approach, engaging 46 professional stakeholders and 64 older people to examine the role of smart cities in enabling older people to age-in-place in Chongqing, China. RESULTS With the development of smart cities, technology has the potential to facilitate ageing-in-place by creating opportunities for heathy and active ageing. This study identified specific priorities in delivering age-friendly smart cities, including the following: shaping smart environments around the everyday lives of older people, designing inclusive and equitable smart cities and ensuring strong forms of institutional governance, trust and relationship building with older people. CONCLUSIONS The age-friendly city and communities movement (AFCC) and smart city policy instruments have potential for realising active ageing by supporting mobility, access to services and civic participation. However, there exists a disconnect between smart city policy and practice in delivering tangible well-being outcomes for older people. Addressing this requires greater cross-sectoral working, reconciling smart city policy priorities with AFCC domains and creating the institutional and governance framework to enable socially sustainable cities to support ageing-in-place.
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Affiliation(s)
- Ryan Woolrych
- The Urban Institute, School of Energy, Geoscience, Infrastructure and Society, Heriot-Watt University, Edinburgh, UK
| | - Manlin Li
- The Urban Institute, School of Energy, Geoscience, Infrastructure and Society, Heriot-Watt University, Edinburgh, UK
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Liebzeit D, Krupp A, Bunch J, Tonelli S, Griffin E, McVeigh S, Chi N, Jaboob S, Nakad L, Arbaje AI, Buck H. Rural age-friendly ecosystems for older adults: An international scoping review with recommendations to support age-friendly communities. Health Sci Rep 2023; 6:e1241. [PMID: 37152222 PMCID: PMC10162383 DOI: 10.1002/hsr2.1241] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Revised: 03/22/2023] [Accepted: 04/10/2023] [Indexed: 05/09/2023] Open
Abstract
Background and Aims The population of older adults in rural areas is rising, and they experience higher rates of poverty and chronic illness, have poorer health behaviors, and experience different challenges than those in urban areas. This scoping review seeks to (1) map the state of the science of age-friendly systems in rural areas regarding structural characteristics, processes for delivering age-friendly practices, and outcomes of age-friendly systems, (2) analyze strengths, weakness, opportunities, and threats of age-friendly system implementation, and (3) make person, practice, and policy-level recommendations to support active aging and development of age-friendly communities. Methods An international scoping review was conducted of articles that used age-friendly framing, had a sample age of 45 years of age or older, self-identified as rural, and reported empiric data. Searches were conducted in PubMed, CINAHL, AgeLine, PsychINFO, EMBASE, Scopus, and Academic Search Elite on October 26, 2021, and rerun March 10, 2023. Data were charted across three analytic layers: socioecological model, Donabedian's framework, and SWOT analysis. Results Results reveal limited data on outcomes relevant to organizations, such as return on investment or healthcare utilization. While the SWOT analysis revealed many strengths of age-friendly systems, including their impact on persons' outcomes, it also revealed several weaknesses, threats, and gaps. Namely, age-friendly systems have weaknesses due to reliance on trained volunteers and staff, communication, and teamwork. System-level threats include community and health system barriers, and challenges in poor/developing areas. Conclusions While age-friendly systems in this review were heterogeneous, there is an opportunity to focus on unifying elements including the World Health Organization age-friendly cities framework or 4Ms framework for age-friendly care. Despite the many benefits of age-friendly systems, we must acknowledge limitations of the evidence base, pursue opportunities to examine organizational metrics to support implementation and sustainability of age-friendly systems, and leverage improvements in age-friendliness at a community level.
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Affiliation(s)
| | - Anna Krupp
- The University of Iowa College of NursingIowa CityIowaUSA
| | - Jacinda Bunch
- The University of Iowa College of NursingIowa CityIowaUSA
| | | | - Emily Griffin
- The University of Iowa College of NursingIowa CityIowaUSA
| | - Sarah McVeigh
- The University of Iowa College of NursingIowa CityIowaUSA
| | - Nai‐Ching Chi
- The University of Iowa College of NursingIowa CityIowaUSA
| | - Saida Jaboob
- The University of Iowa College of NursingIowa CityIowaUSA
| | - Lynn Nakad
- The University of Iowa College of NursingIowa CityIowaUSA
| | - Alicia I. Arbaje
- Department of Medicine, Division of Geriatric Medicine and Gerontology, Center for Transformative Geriatric ResearchJohns Hopkins University School of MedicineBaltimoreMarylandUSA
- Department of Health Policy and ManagementJohns Hopkins University Bloomberg School of Public HealthBaltimoreMarylandUSA
- Armstrong Institute Center for Health Care Human FactorsJohns Hopkins University School of MedicineBaltimoreMarylandUSA
| | - Harleah Buck
- The University of Iowa College of NursingIowa CityIowaUSA
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Kim K, Buckley TD, Burnette D, Huang J, Kim S. Age-Friendly Communities and Older Adults’ Health in the United States. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19159292. [PMID: 35954648 PMCID: PMC9368031 DOI: 10.3390/ijerph19159292] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/23/2022] [Revised: 07/23/2022] [Accepted: 07/27/2022] [Indexed: 12/18/2022]
Abstract
As age-friendly community (AFC) initiatives grow, it will be essential to determine whether older adults who live in an AFC have better health than those who live in other environments. This study uses data from the 2017 AARP AFC Surveys and the AARP Livability Index to assess whether AFCs promote the health of older adults. We analyze data for 3027 adults aged 65 and older who reside in 262 zip code areas. Following AARP guidelines, we allocated the sample into two groups: an AFC group (livability score of 51+; n = 2364) and a non-AFC (score ≤ 50, n = 663). The outcome variable was self-rated health (M = 3.5; SD = 1.1; range: 1–5). We used an inverse probability weighting approach to evaluate whether older adults who live in an AFC reported better self-rated health than those who live in a non-AFC. Findings showed that older adults who lived in an AFC had better self-rated health than those in a non-AFC (b = 0.08, p = 0.027). Compared to non-Hispanic Whites, Black and Hispanic older adults reported worse self-rated health. Inasmuch as living in an AFC can promote the well-being of older adults, policymakers and practitioners should continue to develop and sustain high-quality, accessible built and social environments.
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Affiliation(s)
- Kyeongmo Kim
- School of Social Work, Virginia Commonwealth University, Richmond, VA 23284, USA; (D.B.); (S.K.)
- Correspondence: ; Tel.: +1-804-827-8890; Fax: +1-804-828-0716
| | - Thomas D. Buckley
- Department of Psychiatry, School of Social Work, University of Pittsburgh, Pittsburgh, PA 15260, USA;
| | - Denise Burnette
- School of Social Work, Virginia Commonwealth University, Richmond, VA 23284, USA; (D.B.); (S.K.)
| | - Jin Huang
- School of Social Work, Saint Louis University, St. Louis, MO 63103, USA;
| | - Seon Kim
- School of Social Work, Virginia Commonwealth University, Richmond, VA 23284, USA; (D.B.); (S.K.)
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Ide K, Jeong S, Tsuji T, Watanabe R, Miyaguni Y, Nakamura H, Kimura M, Kondo K. Suggesting Indicators of Age-Friendly City: Social Participation and Happiness, an Ecological Study from the JAGES. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19095096. [PMID: 35564490 PMCID: PMC9102036 DOI: 10.3390/ijerph19095096] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/05/2022] [Revised: 04/15/2022] [Accepted: 04/19/2022] [Indexed: 02/04/2023]
Abstract
Ascertaining progress in building age-friendly cities (AFCs) requires community diagnostic indicators. This study examines the relationship between social participation and happiness at the municipal level. The data from the Japan Gerontological Evaluation Study (JAGES) from 2013, 2016, and 2019, comprising 442,079 older people from 289 municipalities, are used. We also employ linear mixed-effects models to evaluate the association between social participation and happiness. In these models, we adjust for seven variables as potential confounders. This study reveals that the higher the social participation, except for neighborhood association, the higher the state of happiness (B = 0.14-0.30). Our study suggests that social participation is useful, as a community diagnostic indicator, for monitoring the progress of building AFCs, developing strategies, and creating evidence.
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Affiliation(s)
- Kazushige Ide
- Center for Preventive Medical Sciences, Chiba University, Yayoi-cho, Inage, Chiba 263-8522, Chiba, Japan; (T.T.); (R.W.); (K.K.)
- Department of Community General Support, Hasegawa Hospital, Yachimata 289-1113, Chiba, Japan
- Correspondence: ; Tel.: +81-43-290-3177
| | - Seungwon Jeong
- Department of Community Welfare, Faculty of Health Sciences, Niimi University, Nishigata, Niimi 718-8585, Okayama, Japan;
- Center for Gerontology and Social Science, Research Institute, National Center for Geriatrics and Gerontology, 7-430 Morioka-cho, Obu 474-8511, Aichi, Japan;
| | - Taishi Tsuji
- Center for Preventive Medical Sciences, Chiba University, Yayoi-cho, Inage, Chiba 263-8522, Chiba, Japan; (T.T.); (R.W.); (K.K.)
- Faculty of Health and Sport Sciences, University of Tsukuba, 3-29-1 Otsuka, Bunkyo 112-0012, Tokyo, Japan
| | - Ryota Watanabe
- Center for Preventive Medical Sciences, Chiba University, Yayoi-cho, Inage, Chiba 263-8522, Chiba, Japan; (T.T.); (R.W.); (K.K.)
- Center for Gerontology and Social Science, Research Institute, National Center for Geriatrics and Gerontology, 7-430 Morioka-cho, Obu 474-8511, Aichi, Japan;
| | - Yasuhiro Miyaguni
- Center for Gerontology and Social Science, Research Institute, National Center for Geriatrics and Gerontology, 7-430 Morioka-cho, Obu 474-8511, Aichi, Japan;
- Faculty of Social Welfare, Nihon Fukushi University, 35-6 Okudaegemae, Mihama-cho, Chita-gun 470-3295, Aichi, Japan
| | - Hirotaka Nakamura
- Department of Nursing, Asahi University, 1851 Hozumi, Mizuho 501-0296, Gifu, Japan;
| | - Miyako Kimura
- Department of Preventive Medicine, St. Marianna University School of Medicine, 2-16-1, Sugao, Miyamae, Kawasaki 216-8511, Kanagawa, Japan;
| | - Katsunori Kondo
- Center for Preventive Medical Sciences, Chiba University, Yayoi-cho, Inage, Chiba 263-8522, Chiba, Japan; (T.T.); (R.W.); (K.K.)
- Center for Gerontology and Social Science, Research Institute, National Center for Geriatrics and Gerontology, 7-430 Morioka-cho, Obu 474-8511, Aichi, Japan;
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Rhodus EK, Rowles GD. Being in Place: Toward a Situational Perspective on Care. THE GERONTOLOGIST 2022; 63:3-12. [PMID: 35421236 PMCID: PMC9872764 DOI: 10.1093/geront/gnac049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2021] [Indexed: 02/03/2023] Open
Abstract
An optimum focus in any care situation is creating and sustaining environments that facilitate an ongoing sense of "being in place" for all involved. Using this rationale, we propose a Situational Model of Care for exploring dynamic relationships among aging persons receiving care, the convoy of persons offering this care and support, and the place where this occurs, as evolving situations throughout the course of a disease. The model is grounded in extant literature and illustrated through a case study derived from in-home observations and interviews. Emphasizing an underlying goal of fostering a sense of being in place as a desirable outcome facilitates situationally nuanced directions in research and clinical care.
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Affiliation(s)
- Elizabeth K Rhodus
- Address correspondence to: Elizabeth K. Rhodus, PhD, OTR/L, Sanders-Brown Center on Aging, University of Kentucky, 463 Healthy Kentucky Research Building, 760 Press Avenue, Lexington, KY 40508, USA. E-mail:
| | - Graham D Rowles
- Graduate Center for Gerontology, University of Kentucky, Lexington, Kentucky, USA
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Greenfield EA, Buffel T. Age-Friendly Cities and Communities: Research to Strengthen Policy and Practice. J Aging Soc Policy 2022; 34:161-174. [PMID: 35311484 DOI: 10.1080/08959420.2022.2049573] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Since the early 2000s, a global age-friendly movement has emerged with aspirations to make environments and systems within localities more supportive of long and healthy lives. Despite growth in the social movement over the past decade, research on how to work toward community change, especially in systematic and comprehensive ways across diverse geo-political and sociocultural contexts, has been relatively slower to develop. This special issue of the Journal of Aging & Social Policy aims to accelerate this area. It features articles that advance knowledge on processes and contexts toward enhancing the age-friendliness of cities and communities. In this introductory essay, we provide background on the age-friendly cities and communities movement - including its accomplishments alongside key challenges. We then discuss the importance of research at the intersection of policy and practice to strengthen the movement into the 21st century. Next, we introduce the articles in this special issue, organized under four themes: implementation and sustainability processes; partnerships and multisectoral collaboration; theory-based program design; and policy and practice diffusion. A final article provides an overview of the career contributions of Dr. Frank Caro, an age-friendly champion and gerontologist to whom this special issue is dedicated.
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Affiliation(s)
- Emily A Greenfield
- Professor, School of Social Work, Rutgers, the State University of New Jersey, New Brunswick, New Jersey, USA
| | - Tine Buffel
- Senior Lecturer, Department of Sociology, School of Social Sciences, Manchester Institute for Collaborative Research on Ageing, The University of Manchester, Manchester, UK
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